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Related Experiment Videos

Sexual assault in pregnancy.

A J Satin1, D L Hemsell, I C Stone

  • 1Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas.

Obstetrics and Gynecology
|May 1, 1991
PubMed
Summary

Sexual assault during pregnancy has significant implications. Pregnant victims experienced fewer physical injuries but common outcomes included low birth weight and preterm delivery.

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Area of Science:

  • Obstetrics and Gynecology
  • Forensic Medicine
  • Public Health

Background:

  • Limited data exists on the acute effects of sexual assault on pregnant individuals and their pregnancy outcomes.
  • Sexual assault is a critical public health issue affecting diverse populations, including pregnant women.

Purpose of the Study:

  • To analyze patient demographics, forensic evidence, and injury patterns in pregnant sexual assault victims.
  • To compare pregnant victims with matched non-pregnant sexual assault victims.
  • To compare pregnancy outcomes in assault victims with the general obstetric population.

Main Methods:

  • Retrospective review of sexual assault cases in Dallas County from 1983-1988.
  • Comparison of 114 pregnant victims with 114 matched non-pregnant victims.

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  • Analysis of injury patterns, forensic findings, and pregnancy outcomes.

    • Main Results:

    • Pregnant victims were typically Black, parous, in their twenties, with a mean gestational age of 15 weeks and no prior prenatal care.
    • Penetration sites (vulvar, oral, anal) and sperm detection rates were similar between pregnant and non-pregnant groups.
    • Non-pregnant victims had higher rates of physical and genital trauma; pregnant victims showed no truncal injuries after 20 weeks gestation.

    Conclusions:

    • Sexual assault during pregnancy does not appear to increase the risk of spontaneous abortion or immediate delivery post-assault.
    • Low birth weight (24%) and preterm delivery (16%) were common adverse pregnancy outcomes following sexual assault.
    • Further research is needed to understand the long-term impacts on both mother and child.